Posterior fossa arteriovenous malformations

Charles G. Drake M.D., F.R.C.S.(C) 1 , Allan H. Friedman M.D. 1 , and Sydney J. Peerless M.D., F.R.C.S.(C) 1
View More View Less
  • 1 Department of Clinical Neurological Sciences, Division of Neurosurgery, The University of Western Ontario, London, Ontario, Canada
Restricted access

Purchase Now

USD  $45.00

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $505.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $600.00
Print or Print + Online

✓ The authors report their treatment of 66 infratentorial arteriovenous malformations (AVM's) in patients aged 5 to 69 years. Sixty-one of them presented with hemorrhage, three with headache, and two with focal neurological deficits. Five patients underwent surgical exploration only, one was treated with ventriculostomy, three had ligation of the AVM feeding arteries, four underwent intraoperative embolization, and two had pontine hematomas removed; complete excision was attempted in 51 patients and accomplished in 47. Twelve of the patients also had aneurysms (nine of which had ruptured). Of this series, 71% had a good result, 14% a poor result, and 15% died. Most of the operative morbidity was due to massive postoperative hemorrhage, probably related to inadequate hemostasis.

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $505.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $600.00

Contributor Notes

Address reprint requests to: Charles G. Drake, M.D., Professor of Neurosurgery, Department of Clinical Neurological Sciences, University of Western Ontario, London, Ontario NGA 5A5, Canada.

Address for Dr. Friedman: Division of Neurosurgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710.

  • 1.

    Carpenter MB, & Stevens GH: Structural and functional relationships between the deep cerebellar nuclei and the brachium conjunctivum in the rhesus monkey. J Comp Neurol 197:109163, 1957.Carpenter MB, Stevens GH: Structural and functional relationships between the deep cerebellar nuclei and the brachium conjunctivum in the rhesus monkey. J Comp Neurol 197:109–163, 1957.

    • Search Google Scholar
    • Export Citation
  • 2.

    Carrea RME, & Mettler FA: Physiologic consequences following extensive removals of the cerebellar cortex and deep cerebellar nuclei and effect of secondary cerebral ablations in the primate. J Comp Neurol 87:169288, 1947 Carrea RME, Mettler FA: Physiologic consequences following extensive removals of the cerebellar cortex and deep cerebellar nuclei and effect of secondary cerebral ablations in the primate. J Comp Neurol 87:169–288, 1947

    • Search Google Scholar
    • Export Citation
  • 3.

    Chou SN, , Erickson DL, & Ortiz-Suarez HJ: Surgical treatment of vascular lesions in the brain stem. J Neurosurg 42:2331, 1975 Chou SN, Erickson DL, Ortiz-Suarez HJ: Surgical treatment of vascular lesions in the brain stem. J Neurosurg 42:23–31, 1975

    • Search Google Scholar
    • Export Citation
  • 4.

    Critchley M, & Schuster P: Beiträge zur Anatomie und Pathologie der Artesia cerebelli superior. Z Gesamte Neurol Psychiat 144:681741, 1933 Critchley M, Schuster P: Beiträge zur Anatomie und Pathologie der Artesia cerebelli superior. Z Gesamte Neurol Psychiat 144:681–741, 1933

    • Search Google Scholar
    • Export Citation
  • 5.

    Drake CG: Cerebral arteriovenous malformations: considerations for and experience with surgical treatment in 166 cases. Clin Neurosurg 26:145208, 1979 Drake CG: Cerebral arteriovenous malformations: considerations for and experience with surgical treatment in 166 cases. Clin Neurosurg 26:145–208, 1979

    • Search Google Scholar
    • Export Citation
  • 6.

    Drake CG: Surgical removal of arteriovenous malformations from the brain stem and cerebellopontine angle. J Neurosurg 43:661670, 1975 Drake CG: Surgical removal of arteriovenous malformations from the brain stem and cerebellopontine angle. J Neurosurg 43:661–670, 1975

    • Search Google Scholar
    • Export Citation
  • 7.

    Eisenbrey AB, & Hegarty WM: Trigeminal neuralgia and arteriovenous aneurysm of the cerebellopontine angle. J Neurosurg 13:647649, 1956 Eisenbrey AB, Hegarty WM: Trigeminal neuralgia and arteriovenous aneurysm of the cerebellopontine angle. J Neurosurg 13:647–649, 1956

    • Search Google Scholar
    • Export Citation
  • 8.

    Erenberg G, , Rubin R, & Shulman K: Cerebellar haematomas caused by angiomas in children. J Neurol Neurosurg Psychiatry 35:304310, 1972 Erenberg G, Rubin R, Shulman K: Cerebellar haematomas caused by angiomas in children. J Neurol Neurosurg Psychiatry 35:304–310, 1972

    • Search Google Scholar
    • Export Citation
  • 9.

    Gillilan LA: The arterial and venous blood supplies to the forebrain (including the internal capsule) of primates. Neurology 18:653670, 1968 Gillilan LA: The arterial and venous blood supplies to the forebrain (including the internal capsule) of primates. Neurology 18:653–670, 1968

    • Search Google Scholar
    • Export Citation
  • 10.

    Girvin JP, , Fox AJ, & Vinuela F, et al: Intraoperative embolization of cerebral arteriovenous malformations in the awake patient. Clin Neurosurg 31:188247, 1984 Girvin JP, Fox AJ, Vinuela F, et al: Intraoperative embolization of cerebral arteriovenous malformations in the awake patient. Clin Neurosurg 31:188–247, 1984

    • Search Google Scholar
    • Export Citation
  • 11.

    Green JR, & Vaughan RJ: Blood vessel tumors and hematomas of the posterior fossa in adolescence. Angiology 23:474487, 1972 Green JR, Vaughan RJ: Blood vessel tumors and hematomas of the posterior fossa in adolescence. Angiology 23:474–487, 1972

    • Search Google Scholar
    • Export Citation
  • 12.

    Holmes G: The cerebellum of man. Brain 62:130, 1939 Holmes G: The cerebellum of man. Brain 62:1–30, 1939

  • 13.

    Holmes G: The symptoms of acute cerebellar injuries due to gunshot injuries. Brain 40:461535, 1917 Holmes G: The symptoms of acute cerebellar injuries due to gunshot injuries. Brain 40:461–535, 1917

    • Search Google Scholar
    • Export Citation
  • 14.

    Johnson MC, & Salmon JH: Arteriovenous malformation presenting as trigeminal neuralgia. Case report. J Neurosurg 29:287289, 1968 Johnson MC, Salmon JH: Arteriovenous malformation presenting as trigeminal neuralgia. Case report. J Neurosurg 29:287–289, 1968

    • Search Google Scholar
    • Export Citation
  • 15.

    Kazimiroff PB, , Weichsel ME Jr, & Grinnell V, et al: Acute cerebellar hemorrhage in childhood: etiology, diagnosis, and treatment. Neurosurgery 6:524528, 1980 Kazimiroff PB, Weichsel ME Jr, Grinnell V, et al: Acute cerebellar hemorrhage in childhood: etiology, diagnosis, and treatment. Neurosurgery 6:524–528, 1980

    • Search Google Scholar
    • Export Citation
  • 16.

    Malis LI: Arteriovenous malformations of the brain, inYoumans JR (eds): Neurological Surgery, ed 2. Philadelphia: WB Saunders, 1982, Vol 3, pp 17861806 Malis LI: Arteriovenous malformations of the brain, in Youmans JR (ed): Neurological Surgery, ed 2. Philadelphia: WB Saunders, 1982, Vol 3, pp 1786–1806

    • Search Google Scholar
    • Export Citation
  • 17.

    Margolis MT, , Newton TH, & Hoyt WF: The posterior cerebral artery. II. Gross and roentgenographic anatomy, in Newton TH, & Potts DG (eds): Radiology of the Skull and Brain. St Louis: CV Mosby, 1974, Book 2, pp 15511579 (see pp 1558–1559) Margolis MT, Newton TH, Hoyt WF: The posterior cerebral artery. II. Gross and roentgenographic anatomy, in Newton TH, Potts DG (eds): Radiology of the Skull and Brain. St Louis: CV Mosby, 1974, Book 2, pp 1551–1579 (see pp 1558–1559)

    • Search Google Scholar
    • Export Citation
  • 18.

    Matsumura H, , Makita Y, & Someda K, et al: Arteriovenous malformations in the posterior fossa. J Neurosurg 47:5056, 1977 Matsumura H, Makita Y, Someda K, et al: Arteriovenous malformations in the posterior fossa. J Neurosurg 47:50–56, 1977

    • Search Google Scholar
    • Export Citation
  • 19.

    McCormick WF, , Hardman JM, & Boulter TR: Vascular malformations (“angiomas”) of the brain, with special reference to those occurring in the posterior fossa. J Neurosurg 28:241251, 1968 McCormick WF, Hardman JM, Boulter TR: Vascular malformations (“angiomas”) of the brain, with special reference to those occurring in the posterior fossa. J Neurosurg 28:241–251, 1968

    • Search Google Scholar
    • Export Citation
  • 20.

    Ott KH, , Kase CS, & Ojemann RG, et al: Cerebellar hemorrhage: diagnosis and treatment. A review of 56 cases. Arch Neurol 31:160167, 1974 Ott KH, Kase CS, Ojemann RG, et al: Cerebellar hemorrhage: diagnosis and treatment. A review of 56 cases. Arch Neurol 31:160–167, 1974

    • Search Google Scholar
    • Export Citation
  • 21.

    Perret G, & Nishioka H: Report on the Cooperative Study of Intracranial Aneurysms and Subarachnoid Hemorrhage. Section VI. Arteriovenous malformations. An analysis of 545 cases of craniocerebral arteriovenous malformations and fistulae reported to the Cooperative Study. J Neurosurg 25:467490, 1966 Perret G, Nishioka H: Report on the Cooperative Study of Intracranial Aneurysms and Subarachnoid Hemorrhage. Section VI. Arteriovenous malformations. An analysis of 545 cases of craniocerebral arteriovenous malformations and fistulae reported to the Cooperative Study. J Neurosurg 25:467–490, 1966

    • Search Google Scholar
    • Export Citation
  • 22.

    Schlachter LB, , Fleischer AS, & Faria MA Jr, et al: Multifocal intracranial arteriovenous malformations. Neurosurgery 7:440444, 1980 Schlachter LB, Fleischer AS, Faria MA Jr, et al: Multifocal intracranial arteriovenous malformations. Neurosurgery 7:440–444, 1980

    • Search Google Scholar
    • Export Citation
  • 23.

    Spetzler RF, , Wilson CB, & Weinstein P, et al: Normal perfusion pressure breakthrough theory. Clin Neurosurg 25:651672, 1978 Spetzler RF, Wilson CB, Weinstein P, et al: Normal perfusion pressure breakthrough theory. Clin Neurosurg 25:651–672, 1978

    • Search Google Scholar
    • Export Citation
  • 24.

    Suzuki J, & Onuma T: Intracranial aneurysms associated with arteriovenous malformations. J Neurosurg 50:742746, 1979 Suzuki J, Onuma T: Intracranial aneurysms associated with arteriovenous malformations. J Neurosurg 50:742–746, 1979

    • Search Google Scholar
    • Export Citation
  • 25.

    Verbiest H: Arteriovenous aneurysms of the posterior fossa, analysis of six cases. Acta Neurochir 9:171195, 1961 Verbiest H: Arteriovenous aneurysms of the posterior fossa, analysis of six cases. Acta Neurochir 9:171–195, 1961

    • Search Google Scholar
    • Export Citation
  • 26.

    Wyburn-Mason R: Arteriovenous aneurysm of mid-brain and retina, facial naevi and mental changes. Brain 66:163203, 1943 Wyburn-Mason R: Arteriovenous aneurysm of mid-brain and retina, facial naevi and mental changes. Brain 66:163–203, 1943

    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 382 128 8
Full Text Views 233 16 1
PDF Downloads 146 13 0
EPUB Downloads 0 0 0